Teenager Research Articles

Anxiety in infancy: Implication for the teenage years

Anxiety in infancy: Implication for the teenage years

Parenting Practices Are Associated With Out-of-School Physical Activity in US Adolescents in 2014.

Lack of physical activity (PA) is associated with obesity, diabetes, hypertension, cardiovascular diseases, and cancer. Parenting practices influence PA in young children. However, there is little evidence available for adolescents. We examined whether parenting practices were associated with out-of-school PA (OSPA) in US adolescents. This cross-sectional 2019 study analyzed data from the 2014 FLASHE study, a web-based, quota-sampled survey of parent-adolescent dyads. Inclusion required survey completion and parents to live with their teen (ages 12-17y old). Physically limited adolescents were excluded. Dyads were stratified by teen age. Exposures included parental modeling, monitoring, facilitation, restriction, guided choice, and pressure. The outcomes of interest were OSPA Youth Activity Profile scores. Odds ratios (ORs) with 95% confidence intervals (CI) were calculated using adjusted logistic regressions. A total of 1109 dyads were included. Guided choice increased odds of OSPA for 15- to 17-year-olds (OR = 2.12; 95% CI, 1.17-3.84). Facilitation increased odds of OSPA for 12- to 14-year-olds (OR = 2.21; 95% CI, 1.13-4.33). Monitoring decreased odds of OSPA for 15- to 17-year-olds (OR = 0.34; 95% CI, 0.20-0.57) and 12- to 14-year-olds (OR = 0.45; 95% CI, 0.27-0.74). Friend support increased odds of OSPA in 15- to 17-year-olds (OR = 4.03; 95% CI, 2.29-7.08) and 12- to 14-year-olds (OR = 3.05; 95% CI 1.69-5.51). Future interventions should prioritize (1)shared decision making for older teens, (2)access to PA opportunities for younger adolescents, and (3)promoting peer PA and friend support for everyone.

Optimising sleep in adolescents: The challenges.

Adolescence is a stage of significant transition as children develop into young adults. Optimal sleep is crucial during this period to ensure physical, emotional and mental wellbeing. However, it is well recognised that insufficient quality and quantity of sleep is common among adolescents worldwide. This article aims to provide general practitioners with an overview of the key issues encountered in adolescent patients relating to sleep and summarises approaches to assessment and evidence-based management of sleep problems in this population. This review highlights the physiological changes that affect sleep during adolescence and how other factors, including unhealthy sleep behaviours, influence these. It discusses the importance of healthy sleep and the consequences of sleep disturbance in adolescents. Management strategies are outlined, focusing on the key common issues that affect sleep in the teenage years,and guidance on when to consider co-management with specialist care isprovided.

Optimising sleep in adolescents: The challenges.

Adolescence is a stage of significant transition as children develop into young adults. Optimal sleep is crucial during this period to ensure physical, emotional and mental wellbeing. However, it is well recognised that insufficient quality and quantity of sleep is common among adolescents worldwide. This article aims to provide general practitioners with an overview of the key issues encountered in adolescent patients relating to sleep and summarises approaches to assessment and evidence-based management of sleep problems in this population. This review highlights the physiological changes that affect sleep during adolescence and how other factors, including unhealthy sleep behaviours, influence these. It discusses the importance of healthy sleep and the consequences of sleep disturbance in adolescents. Management strategies are outlined, focusing on the key common issues that affect sleep in the teenage years,and guidance on when to consider co-management with specialist care isprovided.

Challenge of Clinical Diagnosis and Treatment for Proteus Syndrome: A Case Report

Proteus syndrome (PS) is an extremely rare complex disorder, and caused by PS associated somatic mosaic AKT1 gene mutation. PS is characterized by progressive asymmetric, disproportionate overgrowth of patient’s skin, soft tissue, and bone of the different body parts since infant period. There is diversity in both clinical appearances, and with or without PS associated pathogenic genetic mutation situation can be existed for each patient. That caused clinical challenges for both accurate diagnosis and proper early treatment. We report a case of 17 years-old girl she presented with significant craniofacial dysmorphism, including prominent craniosynostosis and generalized skull bone sclerotic hyperostosis changes, hearing impairment after age of 3 years-old, progressive asymmetric overgrowth of the left lower limb with leg length discrepancy in childhood. Focal lipomatous tumors grow over the abdomen, left thigh and spinal deformity developed around teenage years. Hypermenorrhea with adenomyosis and ovarian cystadenoma lesions after menarche 12 years-old. Patient was fulfilled positive clinical criteria > 17 points for clinical Proteus syndrome diagnosis, clinically strict met (mosaic distribution of lesions, sporadic occurrence, and progressive course) three general criteria for PS diagnosis. Although the whole exome sequencing test from affected thigh lipoma did not identify pathogenic/likely pathogenic variant AKT1, PTEN, PIK3CA gene. Whole genome sequencing test from affected cranial hyperostosis bone revealed MSH6 variant of uncertain significance (NM-000179.3: c.754T>G) gene mutation. The patient has received surgical treated at three different medical centers in Taiwan for craniofacial dysmorphism, hearing loss, leg length discrepancy, and hypermenorrhea problems respectively. All clinical symptoms and problems with postoperative have partial relieved and improvement. Further more complicated surgery was necessary for her. Clinically we are challenged both for early confirming PS clinical diagnosis, and make the differential diagnosis from other clinical mimic overgrowth spectrum disorder.

La révélation d’un inceste entre frère et sœur dans le cadre d’une prise en charge pédopsychiatrique : étude qualitative auprès d’adolescentes et leurs parents

ObjectiveIncest among siblings is a topic that is not often discussed despite its frequency. The objective of this study is to explore the subjective experience of the disclosure of brother/sister incest by the adolescent victim and their parents in the context of child psychiatric care. MethodThis is a qualitative study based on semi-structured interviews with three adolescent victims who were under child psychiatric care and who had revealed the brother/sister incest to their caregivers for the first time, as well as with two mothers of adolescent victims. The analysis of the data was conducted using the interpretative phenomenological analysis method. ResultsThe results include eleven themes grouped into three meta-themes: (1) pre-disclosure: a state of unease that leads to the initiation of care; (2) the experience of disclosure to a health professional; (3) post-disclosure and its consequences. The different themes highlight the specificities of the experience of the disclosure of incest during the teenage years and the consequences for the parent–child relationship and also for the victim's relationship to the family depending on the adolescent's perspective, parental support, and the medical and legal support. ConclusionThe vulnerability of the adolescent population in a context of disclosure of intrafamilial sexual abuse between brothers and sisters makes it essential that we conceive of care in a specific way and take into account family and transcultural approaches. This study allows us to identify research perspectives in the field of child psychiatry as well as to formulate concrete clinical proposals, in particular a multidisciplinary support protocol on three different levels: individual, parental and familial.

Pedagogical Approach to Intellectual Disability in The Case of A Sexually Abused 'Teen Mother'

This document gives attempts to highlight the perspective from the meeting of the triptych of concepts referring to gender, mental disability and sexuality inside and outside the family. Education narratives in film attempt to understand identity as expressed through the teaching of social skills to children and young people with disabilities, with some films observing the applicability of the pedagogical methodology of special educational needs observation by tracing individual stories of people over extended periods of time in their lives. Our study, therefore, focuses on a certain case of a teenage girl with an intellectual disability who has been sexually abused by her father. Her mother called her by the "nickname", "Monakrivi", "Precious" because she had unique "hidden" talents, which she tacitly recognized but also applauded, when she consented to her daughter's sexual relations her with her husband and father. In order to understand the pedagogical consideration of the individuality of the sixteen-year-old student who attends a special secondary school, as well as the necessity of implementing the intervention program [IP] of special education and training [SET], the pedagogical tool [Targeted, Individual Structured Inclusive Interventions Programs of Special Education and Training TISIPI f [SET] was used. Based on this reasoning, the positive aspects of mental disability in the young woman were investigated by approaching the pedagogical view of individuality in this particular case study. The "deficient" pedagogical culture regarding the meaning of sexual abuse and the predictability in the behaviour of children and young people was also examined. In conclusion, the pedagogical view of individuality [I] is related to the family and to the wider society, the position of the person with an intellectual disability in the school classroom, the understanding of the rules that govern inclusion in the group of peers even if he has suffered sexual abuse, but also to any other group. Targeted, individual structured differentiated inclusion instruction lends itself to the training of his social transactions, encouraging the individual to take active roles for his life.

Management of Unilateral Impacted Maxillary Permanent Canine: A Case Report

Introduction The management of maxillary canine is very complex because it must be carefully planned and carried out as a team. The handling of impacted canine cases must be seen from a clinical and radiological point of view. Maxillary canine impaction can be caused by a lack of space or inadequate seed placement. The time to treat canine impaction is usually between the ages of 11 and 14. Objective The aim of this case report was to describe the management of an impacted maxillary left canine of a teenage girl. Successful treatment requires complete diagnostics, such as radiographs, good teamwork, and precise treatment planning of the dental team. Case Report An 11-year-old female patient with class I molar relationship, bimaxillary protrusive, and impacted left upper canine visited the clinic for orthodontic treatment. Extraction of four first premolars (bicuspids) was carried out, and exposure by the periodontist was completed on the maxillary left canine for the installation of a traction device (gold chain traction). Conclusion The appropriate timing, treatment plan, and proper surgical exposure preparation in handling this case produced optimal and ideal results.

Teenage Girl with Tyrosinemia Type 1 Masquerading as Hepatic Insufficiency: A Rare Case Report

Teenage Girl with Tyrosinemia Type 1 Masquerading as Hepatic Insufficiency: A Rare Case Report

Thrombophilia’s in Patients with Diabetes Mellitus

A clinical case of severe manifestation of type 2 diabetes mellitus in a teenage boy with obesity and the development of severe ketoacidosis as part of multiple organ failure syndrome is described. Timely elimination of diabetic ketoacidosis, hemodialysis and complex therapy in a multidisciplinary hospital made it possible to improve the teenager’s condition and avoid death.

Are the Kids Alright? Helping Children Thrive Through Divorce Using Narrative Therapy

While there are negative stereotypes against children who have been through divorce, research indicates that there are a wide range of potential outcomes children can experience after their parents’ divorce. Research indicates that there are at least four protective factors that lead to positive mental health and social outcomes for children of divorce: (a) external social support, (b) self-reliance and grit, (c) positive relationships with parents, and (d) resilience and self-compassion. These protective factors are then illustrated through a narrative therapy framework, which focuses on multiple possible realities, meaning making, perception of the client as the expert of their own experience, and the role of dominant discourses in the client's life and clinical intervention. A clinical vignette is then presented, depicting a teenage girl whose parents have divorced after an especially turbulent marriage. Narrative therapy's strength is that it helps the client develop cognitive distance between their sense of self and the problems they are experiencing. However, some limitations to this presentation are that it is highly theoretical and requires further quantitative research to explore the effects of narrative therapy on clients whose parents are divorced. Further research is required to explore the wide spectrum of outcomes children can experience after divorce and how clinicians can help children reach more positive outcomes.

Adventures with Anxiety: Gender bias in using a digital game for teaching vocational English

AbstractBackgroundIn Norway, games were introduced into the 2020 English curriculum; acknowledging games as language learning resources alongside other text‐based material. However, little is known about the type of games selected by English teachers, reasons for doing so, or how games are actually used in teaching. This is particularly relevant in gendered vocational classes, with mainly girls or boys respectively in different programmes, as national surveys show that while most teenage boys play digital games, comparatively few girls do.ObjectivesThe primary aim was to investigate how the digital commercial game Adventures with Anxiety was used during naturally occurring English teaching in four gendered vocational classes: one Technological and Industrial Production class (boys only) and three Healthcare, Childhood and Youth development classes (girls mainly).MethodsParticipants involved 36 students (aged 16–17) and two English teachers. Using a mixed methods design (Brevik, 2022), we combined quantitative and qualitative analyses of classroom video recordings (5.5 h), student screen recordings during gameplay (8 h) and retrospective teacher interviews (1.5 h). Analyses relied on the validated PLATO observation protocol (Grossman, 2015) and reflexive thematic analysis (Braun & Clarke, 2022).Results and ConclusionsEnglish teachers expressed a dual aim in using the game for teaching English; to improve students' language skills and provide experiences of how to live with anxiety. Although the game offered relevant vocabulary and virtual experiences with anxiety; anxiety emerged as a professional component of caring professions in the girls‐mainly classes, while being used to help boys acknowledge anxiety in their own lives.

Supporting adolescent well-being at school: Integrating transformative social and emotional learning and trauma-informed education

There is an urgent need to support the social and emotional well-being of adolescents with experiences of adversity and trauma. Adolescence is a critical period of development for promoting social and emotional competencies, which can prevent poor mental health and problematic substance use and promote thriving during challenging teenage years and beyond. Both transformative social and emotional learning (TSEL) and trauma-informed programs for schools (TIPS) have been identified as promising practices for supporting social and emotional well-being among young people with experiences of adversity. We propose a pragmatic theory of action for schools for implementing and evaluating initiatives that integrate TSEL and TIPS made up of three iterative components: awareness, assessment, and action. The TSEL + TIPS Theory of Action is illustrated by a case study of a cross-sectoral collaboration of government, schools, researchers, healthcare, and adolescents to implement TSEL and TIPS initiatives in British Columbia, Canada. The case study provides evidence for the feasibility of TSEL + TIPS Theory of Action and may serve as an example for other regions as experiences of adversity and poor mental health continue to rise among adolescents globally.

Trajectories of Perceived Parental Psychological Control and the Longitudinal Associations with Chinese Adolescents' School Adjustment across High School Years.

Past research supports the detrimental effects of parental psychological control on adolescent school adjustment in both emotional and academic domains. However, how psychological control changes during adolescence, and how such developmental course is related to adolescent psychological well-being and academic functioning are unclear. The direction of effects between parenting and child behaviors is also inconclusive. This 3-year longitudinal study addressed these research gaps by using five waves of survey data on 710 Chinese adolescents of high school ages (Mean age at T1 = 15.54 years, SD = 0.45, 50% males). Using latent growth curve models and latent class growth analysis, the majority of adolescents (about 63%) reported gradual increases of parental psychological control in the first 2 years of high school but a slight decline afterwards, while the other 37% perceived low and stable levels. Results from parallel latent growth modeling suggested that trajectories of psychological control were positively related to developmental trends of internalizing problems (i.e., depression and anxiety) and maladaptive academic functioning, but negatively associated with the trajectory of adaptive academic functioning, as indexed by intercept-intercept and slope-slope associations. The random-intercept cross-lagged models further revealed that psychological control was predictive of adolescent anxiety and lower adaptive academic functioning, and bidirectionally associated with maladaptive academic-related beliefs and behaviors at the within-person level. Taken together, these findings highlight the crucial role of parental psychological control on adolescent school adjustment in the Chinese cultural context and support the reciprocal model of parent-child interactions.

Emotion Regulation in Psychology in Students

This research aims to find out how students' emotional regulation is studied in psychology. The period of emotional development of students in their teenage years is a transitional period that is very vulnerable and requires guidance to be able to control emotions. Emotions are a very dangerous mental disorder. We will discuss several important aspects, including the types of emotion regulation strategies commonly used by students, campus environmental factors that influence emotion regulation, and the impact of emotion regulation on students' psychological well-being and academic achievement. Students often face complex academic, social, and emotional stress in the campus environment, so their ability to manage their emotions is critical to their well-being and academic success. The method used in this research is a qualitative descriptive method. The subjects of this research were students at the Indah Medan College of Health Sciences. The results of the analysis using observation techniques. Through this research, it is hoped that there will be a better understanding of the role of emotional regulation in students' lives, as well as practical implications for the development of coaching and intervention programs in higher education environments.

Practitioner Review: Assessment and treatment of body dysmorphic disorder in young people.

Body dysmorphic disorder (BDD) is a relatively common and highly impairing mental disorder that is strikingly underdiagnosed and undertreated in Child and Adolescent Mental Health Services (CAMHS). The only clinical guidelines for the management of BDD in youth were published nearly 20 years ago, when empirical knowledge was sparse. Fortunately, there has been a surge in research into BDD over the last 10 years, shedding important insights into the phenomenology, epidemiology, assessment and treatment of the disorder in young people. This review aimed to provide an overview of recent research developments of relevance to clinicians and healthcare policymakers. We summarise key findings regarding the epidemiology of BDD in youth, which indicate that the disorder usually develops during teenage years and affects approximately 2% of adolescents at any one point in time. We provide an overview of aetiological research, highlighting that BDD arises from an interplay between genetic and environmental influences. We then focus on screening and assessment strategies, arguing that these are crucial to promote detection and diagnosis of this under-recognised condition. Additionally, we summarise the recommended treatment approaches for BDD in youth, namely cognitive behaviour therapy with or without selective serotonin reuptake inhibitors. The review concludes by highlighting key knowledge gaps and priorities for future research including, but not limited to, better understanding aetiological factors, long-term consequences and treatment.

Pengaruh Citra Tubuh terhadap Kompetensi Interpersonal pada Remaja Laki-laki yang Mengikuti Member Gym di Kota Padang

This research aims to determine the influence of body image on interpersonal competence in young men who attend the gym in Padang City. This research uses quantitative methods with a correlational quantitative design. The data collection technique uses Accidental Sampling. The research sample consisted of 272 respondents. The research instrument uses an interpersonal competence scale which is based on aspects of interpersonal competence according to Buhrmester, et al (1998), as well as a body image scale based on aspects developed by Cash & Pruzinsky (2002). The results of the analysis used simple linear regression analysis and the results showed that body image had a positive and significant effect on interpersonal competence in teenage boys who attended the gym in Padang City.

Child Age and Risk of Medication Error: A Multisite Children's Hospital Study

ObjectiveTo examine associations between patient age and medication errors among pediatric inpatients. Study designSecondary analysis of datasets generated from two tertiary pediatric hospitals: (1) prescribing errors identified from chart reviews for patients on nine general wards at hospital A between April 22 to July 10, 2016, June 20 to September 20, 2017, and June 20 to September 30, 2020; prescribing errors from five wards at hospital B in the same periods; and (2) medication administration errors assessed by direct prospective observation of 5,137 administrations on nine wards at hospital A. Multilevel models examined the association between patient age and medication errors. Age was modeled using restricted cubic splines to allow for nonlinearity. ResultsPrescribing errors increased nonlinearly with patient age (P=0.01), showing little association from ages 0 to 3 years and then increasing with age until around 10 years, and remaining constant through the teenage years. Administration errors increased with patient age, with no association from 0 to around 8 years and then a steady rise with increasing age (P=0.03). The association differed by route: linear for oral, no association for intravenous infusions, and U-shaped for intravenous injections. ConclusionsOlder age is an unrecognized risk factor for medication error on general wards in pediatric hospitals. Contributors to risk may be the clinical profiles of these older children or the general level of attention paid to medication practices for this group. Further investigation may allow the design of more targeted interventions to reduce errors.

Persistent Lip Swelling in a Teenage Girl.

Persistent Lip Swelling in a Teenage Girl.

Considerations for the use of inhaled antibiotics for Pseudomonas aeruginosa in people with cystic fibrosis receiving CFTR modulator therapy

The major cause of mortality in people with cystic fibrosis (pwCF) is progressive lung disease characterised by acute and chronic infections, the accumulation of mucus, airway inflammation, structural damage and...